FDA Adverse Event Injury Summary report: N

BKS UNI

MDR report key: 15165543 · Received August 4, 2022

Report

Report Number
1722511-2022-00008
Event Type
Injury
Date Received
August 4, 2022
Date of Event
July 20, 2022
Report Date
July 20, 2022
Manufacturer
ORTHO DEVELOPMENT
Product Code
HSX
UDI-DI
00822409109319
PMA / PMN Number
K211471
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UT, US
Reporter Occupation
003

Narratives

Description of Event or Problem · 0

A PATIENT WHO HAD UNICOMPARTMENTAL KNEE ARTHROPLASTY ON (B)(6) 2022 HAD AN ASTHMA ATTACK TWO WEEKS LATER AND SUBSEQUENTLY COMPLAINED OF KNEE PAIN. AN NEW X-RAY SHOWED TIBIAL FRACTURES THAT WERE NOT PRESENT AT INTRA-OPERATIVE AND POST OPERATIVE CHECKS. A SECOND SURGERY WAS PERFORMED ON (B)(6) 2022 TO PUT IN AN ORIF PLATE WITH BONE GRAFT LEAVING THE UNICOMPARTMENTAL KNEE COMPONENTS IN PLACE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2166953 BKS UNI TOTAL KNEE ARTHROPLASTY PROSTHESIS HSX ORTHO DEVELOPMENT 762-2100 A263870 00822409109319

Patients

Seq Age Sex Outcome Treatment
1 Unknown